| NPI | 1366078115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN VANGELISTO Director Of Accounts Receivable 949-463-0893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2025-06-02 |